go back

Maine rates for HCPCS 28635

Cltx Metatarsophlngl Jt Dislc Req Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.04 / $168.51 / $224.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.22 / $172.72 / $252.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.12 / $246.78 / $360.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.88 / $215.58 / $382.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.04 / $168.51 / $224.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $237.75 / $351.37